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Monica Wallace McDermott Will & Emery

Results 1 to 5 of 11



CMS delays edits to deny claims when ordering/referring provider not enrolled in Medicare and issues proposed rule on enrollment restrictions *

USA - May 13 2013
The Centers for Medicare & Medicaid Services temporarily delayed the implementation of edits relating to ordering/referring practitioners that were…

Co-authors: Joan Polacheck.


Overview of 2013 final rule on DME written order and face-to-face encounter requirements *

USA - November 13 2012
In the 2013 Medicare Physician Fee Schedule final rule, the Centers for Medicare & Medicaid Services significantly expands the list of durable medical equipment (DME) items that will require a face-to-face encounter and detailed written order prior to delivery.

Co-authors: Emily J. Cook, Joan Polacheck.


Overview of 2013 MPFS proposed rule and DME written order and face-to-face encounter requirements *

USA - July 25 2012
In the 2013 Medicare Physician Fee Schedule proposed rule, the Centers for Medicare and Medicaid Services proposes to significantly expand the list of durable medical equipment items that require a detailed written order prior to delivery and will also require a face-to-face encounter.

Co-authors: Joan Polacheck.


CMS changes to 72-hour rule for wholly owned or operated hospital entities *

USA - June 14 2012
Effective July 1, 2012, when a physician furnishes services to a beneficiary in a wholly owned or operated hospital entity (including a physician practice) and the beneficiary is later admitted to the hospital as an inpatient within three days of receiving such services, the Medicare three-day payment window policy will apply to all diagnostic services furnished, and any non-diagnostic services that are clinically related to the inpatient admission, regardless of whether the reported inpatient and outpatient diagnosis codes are the same.

Co-authors: Daniel H. Melvin, Kerrin B. Slattery.


CMS’ 2012 opps final rule revises physician supervision requirements *

USA - December 13 2011
The U.S. Centers for Medicare & Medicaid Services (CMS) further revised its physician supervision policy by finalizing the federal Advisory Panel on Ambulatory Payment Classification Groups as the independent review body to evaluate and recommend physician supervision levels to CMS, and by defining personal supervision and general supervision for all hospital outpatient therapeutic services.

Co-authors: Joan Polacheck.


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